Information Collection

School Recruitment for the Student Health Survey

IC 182577 under ICR 200711-0920-001 · OMB 0920-0763.

Documents and Forms

Document Name Document Type
Appendix H - School Recruitment Script for the Student Health Survey.doc Instruction
Appendix I - School Recruitment Script for the Student Health Survey Supplemental Documents.doc Student Health Survey IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	School Recruitment for the Student Health Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Appendix H - School Recruitment Script for the Student Health Survey.doc		No	No	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Student Health Survey	Appendix I - School Recruitment Script for the Student Health Survey Supplemental Documents.doc	10/03/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.